Individual
TYLER SCOTT PRITCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3700 MAIN ST, VANCOUVER, WA 98663-2228
(360) 695-1578
(360) 695-2878
Mailing address
3700 MAIN ST, VANCOUVER, WA 98663-2228
(360) 695-1578
(360) 695-2878
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
54726
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
60113224
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54726
STATE LICENSE
CA
01
—
60113224
WA STATE LICENSE
WA
Enumeration date
09/22/2008
Last updated
11/23/2009
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